Individual
CARMEN BORRERO EDGMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 946-8200
(760) 946-8208
Mailing address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 946-8200
(760) 946-8208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
760041
CA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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